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Neely ( Part

=
t )
°

Heck in a tube
providing continuity from the head to trunk .

°
Extends -

(Anteriorly) from lower border of mandible to


manubrium
upper surface of of sternum .

( Posteriorly ) from superior nuchal line on the


occipital
bone intervertebral disc between
of skull to Ct & Tt .

o klithin the tube ,


four compartments provide longitudinal organ -

cation :

( as Visceral Compartment - Ant .


and contains digestive &
Resp sys .
.

( bi Vertebral compartment -
Posterior & contains the cervical

vertebrae cord cervical muscles


,
spinal , nerves & as socia
-
led

← The two vascular


compartments -
one on each side ,
are lateral
blood vessels
and contain the
major and
vagus
n

,
e

All these
compartments are contained
within
unique layers of cervical fascia .

• for descriptive purposes


the neck ui divided
into anterior and
posterior triangles .

Anterior D Boundaries are the anterior


border stern ocleido mastoid muscle
of
border mandible
,
the
inferior of
and midline
of neck .

Posterior is → Boundaries are the


posterior
border sterno deido mastoid
of .

border
the anterior
of trapezius ,

and midline 113 'd


of of
Clavicle .
Fascia
÷

°
The
fascia of neck has a number
of unique features .


The superficial fascia contains platysma .

Deep to superficial fascia the deep cervical fascia


,
is
organised
into several distinct
layer These include .
:

structures
( is an
investing ,
which surrounds all in neck .

dis the pe er
,
which surrounds the vertebral column

and deep muscles associated with the back ;

the portrayer which encloses the the


ciii, ,
viscera
of
and
neck
Liv , the carotid sheaths ,
which receive a contribution
from
-

and surround the two


the other three
fascial layers
bundles side
of neck
either
major neurovascular on .

Fascial Cozi part merits


°
The
arrangement of layers of cervical fascia organises
various

the neck into


four longitudinal compartments :

includes
(a) The
first compartment in the
largest ,
the other

three and consists


of area surrounded
by investing layer
.

Second Vertebral and deep


(b) compartment = column muscles
associated with structure .
Third
(c)
compartment =

(visceral Compartment ) contains the


the trachea
pharynx , ,
the
esophagus and the
thyroid gland ,

surrounded
which are
by pre
tracheal layer .

Is finally ,
there is a
compartment consisting of neurovascular

structures that the base to thoracic


pass from of skull
cavity .

Fascial
Spacey
Between the
°

fascial layers in the neck spaces


arethat may
conduit
provide a
for the
spread of infections from neck to
mediastinum .

Pre tracheal
(a)
space
b, Retro
( pharyneal space
Third within pre vertebral
(a
space
layer .

Venous
Superficial -
drainage
The external and anterior the
jugular jugular veins
primary
°
are

venous channels
for superficial venous
drainage of neck .

External jugular ya'm


°
External
jugular vein is
formed
to the
posterior angle of
mandible as the :

Posterior Auricular Vein


-
Retro mandibular Vein
T
"

by superficial temporal &

Veins
Maxillary
Ext enters at
o .

Jugular vein

last into subclavian


vein -
TRIBUTARIES
posterior Ext Vein
in
Jugular
.

(21 Transverse Cervical Vein


Ant Jugular
-

Vein
(3)
Supra scapular .

Vein .

Anterior jugular Veins


.
It is variable & inconsistent .

. Drains the anterior aspect of Neck .

and anterior communicate


.

Often the
right left jugular veins

connected Venous Arch


with each other ,
being by a
Jugular .

in sternal Notch
supra
.

② Medina (med notes .


in )

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